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Kardex Forms
Ordering
Categories of doctors' orders
Transcription of orders
Vocabulary
100
A portable file that contains and organizes the Kardex forms for each patient on the ursing unit
What is a Kardex file
100
The process of ordering diagnostic procedures, treatments, or supplies from hospital departments rather than nursing
What is ordering
100
Orders that stay in effect until discontinued by a doctor
What is a standing order
100
Read the ENTIRE oder
What is the first step in transcribing orders
100
A method used by the doctor to notify the nursing staff that a new set of orders have been written
What is flagging
200
The process of recording all new doctors' orders onto each patients Kardex form
What is Kardexing
200
Indicates that the order has been transcribed to the patient's kardex form
What is K
200
After this order is completed, the order is automatically discontinued.
What is a one-time or short series order
200
This is the correct ink to write in when transcribing doctors' orders
What is black ink
200
Orders for a patient that are called into a health care facility by the doctor
What are telephoned orders
300
A form on which the HUC records doctor's orders; it is used by the nursing staff for quick reference to patients charts
What is a kardex form
300
Indicates transcription of medication orders on medication administrations record (MAR)
What is M
300
Orders that need to be done IMMEDIATELY
What is a STAT order
300
The process that is used to indicate completion of the transcription of a set of doctors' orders
What is signing off
300
Notations written in black or red ink on the doctor's oder sheet to indicate completion of a step of the transcription procedure
What are symbols
400
The process of recording and updating doctors orders on the kardex form
What is kardexing
400
Indicates that the pharmacy copy of the doctors order sheet was faxed to the pahrmacy.
What is PC sent or faxed
400
In effect as needed until dicontinued by the doctor
What is a standing prn order
400
This is where medication orders anre completed
What is the MAR
400
An entry of doctors' orders written on the doctors' order sheet, dated, notated for time, and signed off by the doctor
What is set of doctors' orders
500
Activity, diet, vital sign frequency, treatment, diagnostic studies
What is found on the Kardex forms
500
Idicates completion of a telephone call necessary to complete the doctor's order
What is Called (name and time)
500
Regular diet
What is an example of a standing order
500
The act or process of planning and exercising conscious control over the amount of time spent on specific activities, especially to increase effectiveness, efficiency or productivity
What is time management
500
A paper form used to order diagnostic procedures, treatments, or supplies from hospital departments other than nursing when the computer is down
What is Requisition